ʻO ke ʻoki nui ma o kahi ʻoki liʻiliʻi? E kamaʻilio kākou e pili ana i ke ʻoki kino minimally invasive (MIS)!

Ke noʻonoʻo kākou i ke ʻoki kino, manaʻo ka hapa nui o kākou i nā mea weliweli e like me kahi ʻoki nui, kekahi mau lā ma ka haukapila, a me ka ʻeha lōʻihi, ʻeā? Akā i kēia manawa, ua holomua nui ka ʻepekema lapaʻau. I kēia lā, e kamaʻilio kākou e pili ana i kahi hana ʻoki kino kupaianaha loa i hana ʻia me ka ʻole o kēlā mau ʻoki nui, akā ma o kahi lua liʻiliʻi loa. ʻO kēia ka mea a mākou e kapa nei he Minimally Invasive Surgery, a i ʻole MIS e like me ka mea i kapa pinepine ʻia i waena o nā kauka.

I ka ʻōlelo maʻalahi, he aha ka Minimally Invasive Surgery (MIS)?

He manaʻo maʻalahi loa ia. E noʻonoʻo inā ʻoe e hana ana i ke ʻoki maʻamau, pono ke kauka e hana i kahi ʻoki nui, he mau ʻīniha paha ka lōʻihi, e hiki ai i kahi e hana ʻia ai ke ʻoki. Akā me MIS, hana nā kauka ʻoki i nā ʻoki liʻiliʻi i kou ʻili a me nā ʻiʻo e like me ka hiki. ʻO ia hoʻi, ma kahi o ka hana ʻana i hoʻokahi ʻoki nui, hana lākou i hoʻokahi a ʻoi aku paha mau ʻoki e like me ke kī .

Ma o kēia mau lua liʻiliʻi, ua hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela i hoʻopili ʻia (kapa mākou i kēia he endoscope) a me nā mea hana ʻoki lōʻihi a lahilahi i hoʻolālā kūikawā ʻia i loko o ke kino. Ma muli o ka hōʻike ʻia ʻana o nā kiʻi mai ke kāmela ma kahi pale nui (monitor), hiki i ke kauka ke ʻike maopopo i loko o ke kino a hana i ke ʻoki me ka pololei loa. Hoʻemi nui kēia i kou ʻeha, nā pilikia, a me ka manawa hoʻōla.

He aha nā ʻano hana nui no ka hana ʻana i kēia mau ʻoki kino?

Aia kekahi mau ʻano hana like ʻole i loko o ka ʻenehana MIS. Koho ʻia kēia mau ʻano hana ma muli o ke ʻano o ke ʻoki kino a me ka ʻāpana kino e mālama ʻia nei.

1. Keʻena ʻoki puka kī

ʻO kēia ke ʻano hana kaulana loa. E like me ka mea i ʻōlelo ʻia ma luna, hana ʻia ke ʻoki ʻana ma ka hana ʻana i kekahi mau ʻoki liʻiliʻi, ke hoʻokomo ʻana i kahi kāmela (kahi `endoscope`) ma o kekahi, a me nā mea hana ʻoki ma o nā mea ʻē aʻe.

• I nā ʻoki ʻōpū, ua kapa ʻia kēia kāmela he laparoscope . Kāhea mākou i kēlā mau ʻoki he ʻoki laparoscopic .
• ʻO ka thoracoscope kahi kāmela i hoʻohana ʻia i nā hana ʻoki e pili ana i ka lua o ka umauma.
• Hoʻohana ʻia kahi arthroscope e nānā i loko o nā hono e like me ke kuli a me ka poʻohiwi.

2. ʻO ke ʻoki kino robotic

ʻO kēia kekahi pae holomua o ka ʻenehana MIS. Maanei, ma kahi o ka hoʻokele pololei ʻana i nā lako me ka lima, noho ke kauka lapaʻau ma kahi console kamepiula a hoʻokele i nā lima robotic . Hoʻokomo ʻia kēia mau lima robotic ma o nā ʻoki liʻiliʻi. ʻAe kēia ʻano hana i nā ʻoki liʻiliʻi a palupalu loa me ka pololei kiʻekiʻe. ʻO ka 'Da Vinci Surgical System' kaulana kekahi o ia ʻōnaehana robotic.

3. ʻO ke ʻoki kino endovascular

He ʻano hana ʻē loa kēia. ʻO ka mea i hana ʻia ma ʻaneʻi, ʻo ia ke hana i kahi lua liʻiliʻi loa me kahi nila, a hoʻokomo i kahi ʻōmole lahilahi (catheter) ma loko o ia mea i loko o kahi kīʻaha koko. A laila, hoʻokomo ʻia nā mea hana e pono ai ma o kēlā ʻōmole, a hana ʻia nā ʻoki e like me ke kau ʻana i kahi stent i loko o ka puʻuwai, e like me ka "stenting", a me ka "angioplasty". I kekahi manawa, ʻaʻole pono kahi ʻoki ma ʻaneʻi.

4. ʻO ke ʻoki kino kūlohelohe

Ma kēia ʻano hana, ʻaʻohe ʻoki ʻia ma kekahi wahi o kou kino. Akā, hoʻokomo ʻia kahi endoscope ma o nā puka kūlohelohe i loko o ke kino, e like me ka waha a me ka ihu, a hana ʻia nā ʻoki e like me ka wehe ʻana i nā puʻupuʻu i loko o ka ʻōpū a me ka esophagus.

He aha nā ʻokiʻoki maʻamau i hana ʻia me ka hoʻohana ʻana i ke ʻano MIS?

I kēia lā, he nui loa nā ʻoki kino e hana ʻia nei me ka hoʻohana ʻana i kēia ʻano MIS. E hāʻawi ka papa ma lalo nei iā ʻoe i kahi manaʻo maikaʻi no ia mea.

No wai kēia ʻoki kino maikaʻi loa? Hiki i nā kānaka a pau ke hana?

I nā hihia he nui, ʻoi aku ka palekana o kēia ʻano MIS ma mua o ke ʻoki kino hāmama kuʻuna. ʻO ka ʻoiaʻiʻo, i kekahi manawa hiki i ka poʻe hiki ʻole ke ʻae i kahi ʻoki nui a i ʻole nā ​​​​maʻi olakino ʻē aʻe ke hana ʻoki kino me ka hoʻohana ʻana i kēia ʻano.

ʻo kahi laʻana:

• ʻAʻole hiki ke hoʻohana ʻia kēia ʻano hana i nā hihia kahi e pono ai ke ʻoki kino i ka wikiwiki, e like me kekahi i hoʻokomo ʻia i ka ETU (Emergency Treatment Unit) ma hope o kahi ulia, no ka mea, pono ia i kekahi hoʻomākaukau.
• I ka wā o ke ʻoki laparoscopic, hoʻokomo ʻia ke kinoea kalapona dioxide i loko o ka ʻōpū e kōkua i ka ʻike ʻana i nā kino. Hiki i kēia ke lilo i mea weliweli no ka poʻe me kekahi mau maʻi puʻuwai a māmā paha .

No laila, inā makemake ʻoe e hana i ke ʻoki kino, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i kēia kaʻina hana a noi i kāna ʻōlelo aʻo.

He aha nā pōmaikaʻi a me nā pōʻino o kēia mau ʻoki kino?

E like me nā mea āpau, loaʻa i kēia ʻano hana kekahi mau pono a me kekahi mau hemahema.

Nā Pōmaikaʻi

• Haʻahaʻa loa ka pōʻino (trauma) i ke kino.
• He kakaikahi loa ke kahe ʻana o ke koko i ka wā o ke ʻoki kino.
• ʻOi aku ka haʻahaʻa o ka pilikia o nā pilikia ma mua o ke ʻoki kino hāmama.
• Ma muli o ka liʻiliʻi o nā ʻoki, ua liʻiliʻi loa nā māka ma hope o ka ho'ōla ʻana a ʻaʻole paha.
• ʻOi aku ka pōkole o nā lā āu e noho ai ma ka haukapila. Hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi ma hope o kekahi mau ʻoki kino.
• He pōkole loa ka manawa ho'ōla. ʻOiai hiki i kahi ʻoki nui ke hala i nā mahina e ho'ōla ai, e ho'ōla kēia mau ʻoki liʻiliʻi i loko o kekahi mau pule.
• Ma muli o ka emi ʻana o ka ʻeha, ʻaʻole pono ka hoʻohana ʻana i nā mea hoʻomaha ʻeha.

Nā hemahema

• Pono kēia i nā kauka ʻokiʻoki i hoʻomaʻamaʻa kūikawā ʻia a me nā lako kūikawā a pipiʻi hoʻi .
• ʻAʻole paha e loaʻa kēia pono ma nā haukapila āpau .
• ʻOi aku paha ka lōʻihi o ke ʻoki kino ma mua o ke ʻoki kino kuʻuna.
• E like me ka mea i ʻōlelo ʻia ma luna, ʻaʻole kūpono ia no nā pilikia āpau.
• No kekahi poʻe (ʻoi aku ka poʻe me ka maʻi puʻuwai/māmā), ʻo ka hoʻohana ʻana i ke kinoea no ke ʻoki ʻana he mea pilikia paha ia.